ARKANSAS CANCER INSTITUTE – NPI #1760448542
Internal Medicine

An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

ARKANSAS CANCER INSTITUTE is a provider located in PINE BLUFF, AR. NPPES has assigned the NPI number 1760448542 to ARKANSAS CANCER INSTITUTE on April 21, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “ARKANSAS CANCER INSTITUTE” is a dba name, the actual legal business name for this organization is ARKANSAS CANCER CLINIC, PA. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207RH0003X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Hematology & Oncology

The NPI profile was previously updated about 16 years ago on Dec 17, 2009. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ARKANSAS CANCER INSTITUTE below.

NPI Profile for
ARKANSAS CANCER CLINIC, PA

NPI Number
1760448542
Enumeration Date

(more than 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
ARKANSAS CANCER CLINIC, PA
Doing Business As (dba): ARKANSAS CANCER INSTITUTE
Primary location
7200 SOUTH HAZEL
PINE BLUFF, AR 71603
Phone: (870) 535-2800 Fax: (870) 535-2801
Mailing address
PO BOX 8906
PINE BLUFF, AR 71611
Phone: (870) 535-2800 Fax: (870) 535-2801
Organization Subpart
No
Authorized Official
OMAR ATIQ
PRESIDENT
Phone: (870) 535-2800
Updated
Identifiers

Identifiers for ARKANSAS CANCER INSTITUTE

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDAR119286002
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RH0003X
- Internal Medicine / Hematology & Oncology (Primary)
AR R4174
174400000X
- Specialist

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.